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General NPI Number Information
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NPI Number | 1336441575
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Entity Type | Organization
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Legal Business Name | BRIAN GORDON & ASSOCIATES, INC.
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Dates
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Enumeration Date | 11/20/2010
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Last Update Date | 07/08/2023
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Provider Practice Location Address
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Address Line | 72 CORBETT DR
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City | EAST QUOGUE
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State | NY
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Zip | 11942-3841
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Country | US
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Telephone | 631-728-4600
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Fax | 631-728-4749
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Provider Business Mailing Address
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Address Line | 7645 HAWKS LANDING DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33412-3151
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Country | US
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Telephone | 631-728-4600
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Fax | 631-728-4749
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN E GORDON
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Credential |
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Telephone | 631-728-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number | 1
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License Number State | NY
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